44D2146629 CLIA NUMBER - GRACE HEALTH SERVICES PLLC

Laboratory Demographics

  • CLIA Code: 44D2146629
  • Facility Name: GRACE HEALTH SERVICES PLLC
  • Facility Address: 340 MAIN STREET
    COPPERHILL, TN
    ZIP 37317
  • Facility Phone: 423 548-1000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BETHANY C. WHITENER
  • NPI Number: 1457849457
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2146629
LAB Type Physician Office
Facility Name GRACE HEALTH SERVICES PLLC
Street 340 MAIN STREET
City COPPERHILL
State TN
ZIP 37317
Phone 423 548-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director BETHANY C. WHITENER

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This page was last updated on: 9/29/2025